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An Examination of Policy Effectiveness in Reducing Child Mortality Rates in Sabuwa Local Government, Katsina State

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Chapter One: Introduction

1.1 Background of the Study

Child mortality remains one of the most critical health issues in many developing countries, including Nigeria. Despite progress in healthcare delivery, the child mortality rate in Nigeria remains high, particularly in rural areas like Sabuwa Local Government in Katsina State (Abdul & Ibrahim, 2023). This high rate of child mortality is driven by factors such as inadequate healthcare facilities, poor nutrition, lack of sanitation, and limited access to immunization services. In response, the Nigerian government, in collaboration with state and local governments, has implemented various policies aimed at reducing child mortality. These policies focus on improving maternal and child health, enhancing immunization coverage, and promoting better sanitation practices (Garba & Ahmed, 2023).

In Sabuwa, the local government has been involved in several initiatives designed to reduce child mortality, including the construction of health centers, distribution of mosquito nets, and awareness campaigns on breastfeeding and vaccination. However, the effectiveness of these interventions in reducing child mortality rates has been mixed, with certain policies failing to reach remote areas and others facing challenges in implementation. This study seeks to examine the effectiveness of local government policies in reducing child mortality rates in Sabuwa Local Government, focusing on the challenges and successes of these initiatives.

1.2 Statement of the Problem

Despite the implementation of policies aimed at reducing child mortality in Sabuwa Local Government, the region continues to experience high rates of child deaths. These deaths are often attributed to preventable causes such as malnutrition, infectious diseases, and lack of access to quality healthcare services. The study aims to evaluate the effectiveness of local government policies in addressing these issues and reducing child mortality rates in the region.

1.3 Objectives of the Study

1. To evaluate the effectiveness of local government policies in reducing child mortality in Sabuwa Local Government.

2. To examine the impact of maternal and child health programs on child mortality rates in Sabuwa.

3. To identify the challenges faced by the local government in implementing policies aimed at reducing child mortality.

1.4 Research Questions

1. How effective have local government policies been in reducing child mortality in Sabuwa Local Government?

2. What impact have maternal and child health programs had on child mortality rates in Sabuwa Local Government?

3. What challenges hinder the implementation of policies aimed at reducing child mortality in Sabuwa Local Government?

1.5 Research Hypothesis

1. Local government policies have contributed to a reduction in child mortality rates in Sabuwa Local Government.

2. Maternal and child health programs have had a positive impact on reducing child mortality in Sabuwa Local Government.

3. Challenges such as inadequate infrastructure, lack of awareness, and limited healthcare personnel hinder the effectiveness of policies aimed at reducing child mortality in Sabuwa.

1.6 Significance of the Study

This study is significant as it will provide insights into the effectiveness of local government policies in addressing child mortality, which is a major public health concern in rural Nigeria. The findings will inform policymakers and other stakeholders about the successes and limitations of existing policies and suggest ways to improve child health interventions.

1.7 Scope and Limitations of the Study

The study will focus on Sabuwa Local Government in Katsina State and will assess local government policies aimed at reducing child mortality. Limitations include potential biases in responses from healthcare providers and local government officials, as well as challenges in obtaining accurate data on child mortality rates.

1.8 Operational Definition of Terms

• Child Mortality: The death of children under the age of five, often caused by preventable diseases, malnutrition, or lack of access to healthcare.

• Maternal and Child Health Programs: Government initiatives focused on improving the health and wellbeing of mothers and children, including immunization, prenatal care, and nutrition programs.

• Healthcare Access: The availability and accessibility of healthcare services to the population, including maternal and child health services.

 





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